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Kentucky Personnel Cabinet

Medicaid/Medicare Services Specialist II

Posted 4 days ago
$43210.08 - $64816.08 per year
2-5 years experience
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The specialist will perform advanced analysis of provider records to identify deficiencies and evaluate policies for improvement. They are also responsible for conducting monitoring reviews and preparing detailed reports to inform strategic decision-making.

 
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9/11/2026 (11:59 PM ET)
2604593
Medicaid/Medicare Services Specialist II
Pay Grade 14
Salary
$43,210.08 - $64,816.08 Annually
Employment Type
EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK
Hiring Agency
Cabinet for Health & Family Services | Dept for Aging and Independent Living
Location
275 East Main Street, 3E-E
Frankfort, KY 40621 USA

The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.
Description
The Department for Aging and Independent Living provides services for the aged and physically disabled populations across the state. The Department is charged with assisting individuals in obtaining needed home and community-based care and services to prevent premature admission into a long-term care facility. The goal of the departments programs is to assist individuals with remaining in their own home for as long as possible. The Department is currently seeking a high energy, self-motivated individual with the desire to assist the Division in supporting the departments goals.

Responsibilities include but are not limited to the following:
  • Perform advanced analysis of records to identify provider deficiencies.
  • Evaluate regulations and policies, providing expert recommendations for improvement.
  • Develop, interpret and maintain comprehensive statistical reports and tracking spreadsheets.
  • Addresses complex inquiries and prepares detailed oral or written responses.
  • Analyze and report impact of policy changes, providing expert insight to inform decision making and strategic planning.
  • Conduct monitoring and technical reviews of agencies providing waiver services.
Skills and Expectations include but are not limited to the following:
  • Excellent verbal and written communication skills.
  • Excellent computer skills.
  • Ability to plan and establish priorities, differentiating between urgent, important, and unimportant tasks.
  • Excellent organization skills including time management, scheduling, coordinating resources and meeting deadlines.
  • Attention to detail being thorough and accurate in completing tasks.
  • Ability to work cooperatively as part of a team.
  • Ability to work under pressure, being able to cope with a high volume of work and meeting deadlines.
  • Exceptional Customer Service.
  • Effective Problem Solver.
  • Written and verbal communication skills.
  • Works well in a fast-paced environment.
  • Organization and time management skills.
The Cabinet for Health and Family Services (CHFS) participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in U.S. CHFS will only use E-Verify once you have accepted a job offer and completed the Form I-9. For more information on E-Verify, or if you believe that CHFS has violated its E-Verify responsibilities, please contact Department of Homeland Security (DHS) at 888-897-7781 or https://www.e-verify.gov/.
Minimum Requirements
EDUCATION: Graduate of a college or university with a bachelor's degree.

EXPERIENCE, TRAINING, OR SKILLS: Two years of experience in Medicaid or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development, human service or health care administration, insurance billing and/or claims, or research, review, and analysis of legislation or regulations.

Substitute EDUCATION for EXPERIENCE: NONE

Substitute EXPERIENCE for EDUCATION: Experience in the above fields will substitute for the required college on a year-for-year basis. Current or prior military experience will substitute for the required college on a year-for-year basis.

SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE
Working Conditions
Incumbents working in this job title primarily perform duties in an office setting.
Probationary Period
This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.
If you have questions about this advertisement, please contact Laura Haydon at Laura.Haydon@ky.gov or 502-564-1181.
An Equal Opportunity Employer M/F/D

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